Concordia Lutheran Church 2019 VBS - Miraculous Mission
Who: Children ages 3-12
When: August 4th-8th from 6:30-9:00P
Where: Concordia Lutheran Church, 1805 Main St., Williston, ND 58801
Child Registration
For each child, please submit a separate registration
Child's Name *
Your answer
Age *
Allergies/Other Medical Issues *
Days Anticipated to Attend (Check All that Apply) *
Required
Parent/Legal Guardian Contact Information
Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Email
Your answer
Emergency Phone Number *
In case of an emergency, please provide the best contact number that you can be reached at during VBS.
Your answer
Church Information
Home Congregation
Your answer
City
Your answer
State
Photo Release & Consent
Photo Release *
Occasionally, Concordia Lutheran Church has a use for pictures taken at VBS to be used in local newspapers, on our website, on our Facebook page, etc. Please indicate which of the following information about your child can be published:
Consent *
By checking the box below, you agree to release the teachers, supervisors, and staff of Concordia Lutheran Church and her Vacation Bible School (VBS) program from responsibility for accidents that may occur during VBS to the child you are registering. In case of emergency, you, the parent/legal guardian of the above named child, give permission to the adult volunteers of Concordia Lutheran Church's VBS to secure proper treatment for the health, comfort, and well-being of your child until you can be reached.
Required
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